US Federal 2025-2026 Regular Session

US Federal House Bill HB6183

Introduced
11/20/25  

Caption

To amend the Internal Revenue Code of 1986 to reform certain rules related to health savings accounts.

Impact

The bill proposes to repeal an exception that allows for penalty-free distributions from HSAs not used solely for qualified medical expenses. Consequently, both the ability to reimburse medical expenses and the substantiation requirements for those expenses are tightened. Such changes are designed to ensure that HSAs are primarily utilized for legitimate health-related expenditures, potentially improving compliance and accountability within the tax system. If enacted, these alterations will fundamentally reshape the landscape of how HSAs operate, particularly affecting those planning to use these accounts for diversified expenses outside typical medical costs.

Summary

House Bill 6183 aims to amend the Internal Revenue Code to reform certain aspects of health savings accounts (HSAs). Specifically, it introduces limitations on tax-deductible contributions to HSAs based on a taxpayer's modified adjusted gross income. This reform is guided by the objective to ensure that tax benefits are more equitably distributed, particularly limiting advantages for higher-income earners. As a result, individuals exceeding a defined income threshold will see their deductible contributions reduced, addressing potential inequities in how tax advantages are utilized in relation to HSAs.

Contention

Throughout the discussion surrounding HB 6183, a notable point of contention revolves around the intricacies of providing substantiation for medical expenses reimbursed from HSAs. The requirement for substantiation could be perceived as burdensome, particularly for lower-income individuals or families who may not easily have access to the necessary documentation. Furthermore, the imposition of penalties on certain expenses categorized outside medical care, like spa treatments or excess exercise equipment costs, is also a contentious issue. Advocates for consumer protections argue that it unfairly restricts personal health choices and expenditures that contribute to overall well-being.

Companion Bills

No companion bills found.

Previously Filed As

US HB2436

To amend the Internal Revenue Code of 1986 to treat distributions from health savings accounts for funeral expenses of the account beneficiary as qualified distributions.

US SB2207

A bill to amend the Internal Revenue Code of 1986 to reform the treatment of digital assets.

US HB2749

To amend the Internal Revenue Code of 1986 to provide a refundable credit for certain home accessibility improvements.

US HB1547

Relating To Health Savings Accounts.

US SB2431

Relating To Health Savings Accounts.

US HB8482

To amend the Internal Revenue Code of 1986 to modify certain investment credit rules with respect to nuclear facilities.

US HB8477

To amend the Internal Revenue Code of 1986 to reverse certain energy-related modifications enacted by Public Law 119-21.

US HB7610

To amend the Internal Revenue Code of 1986 to establish a credit for adult child caregivers.

US SB1938

A bill to amend the Internal Revenue Code of 1986 to modify the cover over of certain distilled spirits taxes.

US HB7820

To amend the Internal Revenue Code of 1986 to modify the rules for investments in qualified opportunity funds, and for other purposes.

Similar Bills

No similar bills found.